{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T14:04:55Z","timestamp":1792159495959,"version":"4.4.0"},"reference-count":73,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T00:00:00Z","timestamp":1750118400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To determine the treatment effectiveness associated with mobile health\u2010delivered cognitive behavioural therapy for insomnia (mCBT\u2010I) interventions for adults with insomnia and to identify the potential characteristics associated with better treatment outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A systematic review and meta\u2010analysis was conducted following the Preferred Reporting Items for Systematic Reviews and Meta\u2010Analyses (PRISMA 2020) guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Seven English\u2010 and two Chinese\u2010language databases were searched, without restrictions on publication dates, up to July 2024. Reference lists of relevant reviews and grey literature were included in the search. Randomised controlled trials evaluating mCBT\u2010I in adults with insomnia and published in either English or Chinese were included in this meta\u2010analysis. A random\u2010effects model was used for data analysis, accompanied by additional subgroup analyses and meta\u2010regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Sixteen studies involving 2146 participants were included in this meta\u2010analysis. mCBT\u2010I interventions were associated with significantly reduced insomnia symptoms and improved sleep quality at post intervention, at 1\u20133\u2010month follow\u2010up, and at 4\u20136\u2010month follow\u2010up. Interventions that included five components of CBT\u2010I, were delivered for 6\u2009weeks or longer, and were conducted in a group format were linked to better treatment outcomes; the differences in other subgroup categories were not statistically significant. Studies involving participants with comorbid conditions showed a greater effect in reducing insomnia symptoms than those without such participants. In addition, mCBT\u2010I interventions delivered by healthcare professionals resulted in statistically larger effect sizes for improving sleep quality than self\u2010help regimens.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The systematic review and meta\u2010analysis identified the effectiveness of mCBT\u2010I in reducing insomnia symptoms and improving sleep quality and offered practical implications for the development of effective mCBT\u2010I interventions in clinical practice. However, future robust studies are needed to explore the long\u2010term effects of mCBT\u2010I interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No patient or public contribution.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trail Registration<\/jats:title>\n                    <jats:p>PROSPERO CRD: 42023454647<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocn.17858","type":"journal-article","created":{"date-parts":[[2025,6,17]],"date-time":"2025-06-17T09:01:49Z","timestamp":1750150909000},"page":"61-84","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of Mobile Health\u2010Delivered Cognitive Behavioural Therapy for Insomnia in Adults: A Systematic Review and Meta\u2010Analysis of Randomised Controlled Trials"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3528-6769","authenticated-orcid":false,"given":"Yangxi","family":"Huang","sequence":"first","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5879-8623","authenticated-orcid":false,"given":"Yongyang","family":"Yan","sequence":"additional","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7444-6935","authenticated-orcid":false,"given":"Jojo Yan Yan","family":"Kwok","sequence":"additional","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"},{"name":"Center on Behavioral Health, Faculty of Social Sciences The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pui Hing","family":"Chau","sequence":"additional","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mu\u2010Hsing","family":"Ho","sequence":"additional","affiliation":[{"name":"School of Nursing, LKS Faculty of Medicine The University of Hong Kong  Hong Kong SAR China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Siobh\u00e1n","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9704-2116","authenticated-orcid":false,"given":"Jung 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